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CffY OF SANTA ANA <br />Project No. 11-2606: Fisher Park Butterfly and Bird Habitat <br />Project No, 13-7515: Centennial Park Slope Repair <br />PROPOSAL AND CQINLFRACT AQRE[M[,,Nr <br />NONLOBBYING <br />j- <br />QER I II L(L-AFIQN rOR FED1,RA 1, A] Q CONTRACTS <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best <br />of his or her knowledge and belief, that: <br />(1) No Federal appropriated funds have been paid or will be paid, by or on behalf ofthe <br />undersigned, to any person for influence or attempting to influence an officer or employee of <br />Congress, or an employe© of a Member of Congress in connection with the awarding of any <br />Federal contract, the making of any Federal grant, the making of any Federal loan, the <br />entering into of any cooperative agreement, and the extension, continuation, renewal, <br />amendment or modification of any Federal contract, grant, loan. or cooperative agreement. <br />(2) If any funds other than Federal appropriate funds have been paid or will be paid to any <br />person for influencing or attempting to influence an officer or employee of any Federal <br />agency, a Member of Congress, an officer or employee of Congress, or an employee of a <br />Member of Congress in connection with this Federal contract, grant, loan, or cooperative <br />agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of <br />Lobbying Activities," in accordance with its instructions. <br />This certification is a material representation of fact upon which reliance was placed when this <br />transaction was made or entered into. Submission of this certification is a prerequisite for making or <br />entering into this transaction imposed by Section 1352, Title 31, U& Code, Any person who fails to <br />rile the required certification shall be subject to a civil penalty of not less than $IU00 and not more <br />than $100,000 for each such failure. <br />The prospective also agrees by submitting his or her bid or proposal that he or she <br />shall require that C aguage of this certification be included in all lower tier subcontracts, which <br />a <br />exceed ;t all such sub-recipients shall certify and disclose accordingly. <br />BIDDER <br />--- <br />Hondo Company, <br />Firm <br />Date <br />. Slmdaid him LLL may be oluined from Utran and F11WA offices <br />TO BE INCLUDED IN BID PACKAGE <br />BE 22 of 29 <br />